ATI LPN
Perioperative Nursing Care NCLEX Questions Questions
Question 1 of 5
Which patient would be a candidate for moderate sedation? (Select all that apply.)
Correct Answer: A
Rationale: Moderate sedation suits endoscopy , fracture reduction , and catheterization . Cesarean requires deeper anesthesia. The rationale explains suitability: moderate sedation (e.g., midazolam) keeps patients responsive yet relaxed for brief, less invasive procedures, unlike major surgeries needing general anesthesia. Nursing monitors consciousness and vitals, ensuring safety, tailored to procedure type.
Question 2 of 5
The PACU nurse is caring for a postoperative patient. The patient's oxygen saturation drops from 98% to 88%. What is the nurse's priority action?
Correct Answer: C
Rationale: The priority is calling the Rapid Response Team for an SpO2 drop to 88%, signaling hypoxia needing urgent escalation. Calling providers (choice A, B) or therapist delays. The rationale follows ABCs: 88% indicates respiratory compromise; rapid response delivers immediate expertise (e.g., oxygen, suction). Nursing acts decisively, ensuring oxygenation, distinct from slower consults, critical for patient stability.
Question 3 of 5
The nurse in an ambulatory surgery center has administered the following preoperative medications to a patient scheduled for general surgery: diazepam (Valium), cefazolin (Ancef), and famotidine (Pepcid). What mode of transportation to the operating room (OR) would be the most appropriate for the nurse to arrange for this patient?
Correct Answer: A
Rationale: Stretcher with side rails up and accompanied by OR transport personnel,' as diazepam's sedative effects increase fall risk, requiring a stretcher unlike 'ambulatory with escort' (B, D) or 'wheelchair with family' (C), less safe. In nursing, patient safety post-sedation is paramount; A aligns with NCLEX Perioperative, prioritizing secure transport based on medication effects.
Question 4 of 5
Which of the following items is included in a valid informed consent? Select all that apply
Correct Answer: C
Rationale: Valid informed consent requires it be freely given , a physician obtains it , and age isn't strictly 16 or 18 capacity matters more. Choice C is primary for CSV. The rationale defines consent: it must be voluntary (no coercion), physician-led (surgeon typically), and based on competence, not arbitrary age (minors with guardians consent). Physician assistants (choice E, not D here) don't typically obtain it. Nursing ensures this process witnessing, checking voluntariness upholding patient autonomy, distinct from age-based or assistant-led misconceptions.
Question 5 of 5
A client is experiencing confusion in the immediate postoperative period. Which of the following assessments is essential to determine the reason for the confusion?
Correct Answer: C
Rationale: Airway status,' as hypoxia is a common cause of postop confusion, and ABCs prioritize airway unlike 'consciousness' (A), an outcome, 'cardiac rhythm' (B), secondary, or 'anxiety' (D), less urgent. In nursing, oxygenation drives assessment; C aligns with NCLEX Perioperative, ensuring respiratory stability first.